Pennsylvania Code & Bulletin

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The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 53 Pa.B. 7346 (November 25, 2023).

55 Pa. Code § 6210.105. Inspection of care summary report.

§ 6210.105. Inspection of care summary report.

 (a)  The Inspection of Care Team shall develop a summary report at the conclusion of its inspection of each facility. The report shall include:

   (1)  The alternate care determinations.

   (2)  Findings of the adequacy and quality of care rendered by the facility. The findings will specify that the care rendered is acceptable or in need of improvement.

 (b)  Within 45 days following the conclusion of the inspection, two copies of the summary report shall be forwarded to the administrator of the facility. The administrator shall forward one copy of the summary report to the utilization review committee chairperson. On the second copy of the summary report, the administrator shall give written responses to each area identified as deficient and to narrative recommendations.

 (c)  In advance of forwarding the summary report to the facility, the Inspection of Care Team shall notify the CAO and the facility of alternate care determinations made by the team.

Cross References

   This section cited in 55 Pa. Code §  6210.101 (relating to scope of claims review procedures).

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